GARY DEAN PEARSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000207

License Status

NOT RENEWED

Business

First Name

GARY DEAN

Last Name

PEARSON

Suffix

DDS

Business Name

GARY DEAN PEARSON DDS

Original Issue Date

02/15/1990

Effective Date

02/15/1990

Expiration Date

09/30/1994

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

10/13/2005